Active NPIIndividual provider

Elizabeth A White, RD

Dietitian, Registered in Glastonbury, Connecticut

NPI Number1124796370
Practice location
2790 Main St, Glastonbury, CT 06033-4607
Fax
—
Last updated
September 3, 2021

Elizabeth Anne White is a Dietitian, Registered based in Glastonbury, CT. Elizabeth Anne White practices in Glastonbury, CT and has the professional credentials of RD. The NPI Number for Elizabeth Anne White is 1124796370 and holds a License No. Pending (CT). The current practice location address for Elizabeth Anne White is 2790 Main St, Glastonbury, CT 06033-4607 and can be reached out via phone at 860-430-9922.

Provider Profile Details

NPI Number
1124796370
Provider Name
Elizabeth Anne White
Credential
RD
Provider Entity Type
Individual
Gender
Female
Address
2790 Main St, Glastonbury, CT 06033-4607
Phone Number
860-430-9922
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
No
Provider Enumeration Date
September 2, 2021
Last Update Date
September 3, 2021
Certification Date
September 3, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
2790 Main St
Glastonbury, CT 06033-4607
Zip
06033-4607
Phone Number
860-430-9922
Glastonbury, CT 06033Get directions →

Provider Business Mailing Address Details

Address
69 Fox Ridge Ln
Hebron, CT 06248-1382
City
Hebron
State
CT
Zip
06248-1382
Phone Number
860-338-9133

License Information

License Number (1)
Pending
License State (1)
CT
Taxonomy (1)
Dietitian, Registered · 133V00000X
License Number (2)
18004653203
License State (2)
CT
Taxonomy (2)
Dietitian, Registered · 133V00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Elizabeth A White, RD?

The NPI number of Elizabeth A White, RD is 1124796370. It was assigned on September 2, 2021 and is currently active in the NPPES registry.

What is the specialty of Elizabeth A White, RD?

Elizabeth A White, RD is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in CT under license number Pending.

Where does Elizabeth A White, RD practice?

The practice location is 2790 Main St, Glastonbury, CT 06033-4607. The office can be reached at 860-430-9922 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124796370 directly on the NPPES registry website.

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